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. 2015 Dec;48(12):655–667. doi: 10.5483/BMBRep.2015.48.12.249

Table 2. Tissue clearing summary.

BABB (Becker et al, 2008; Dent et al, 1989; Dodt et al, 2007; Spalteholz, 1914) Scale (Hama et al, 2011) Tetrahydrofuran (THF) (Ertürk et al, 2012b) 3DISCO (Becker et al, 2012; Ertürk et al, 2012a) CLARITY (Chung et al, 2013; Lee et al, 2014; Tomer et al, 2014) PACT (passive CLARITY technique ) / PARS (perfusion-assisted agent release in situ) (Yang et al, 2014)

Fixation method and other tissue preparation PFA perfusion PFA perfusion PFA perfusion PFA perfusion PFA, acrylamide, bis-acrylamide, VA044 perfusion PFA perfusion and subsequent hydrogel / initiator perfusion
Dehydration Yes No Yes Yes No No
Clearing solution Benzylalcohol, benzylbenzoate ScaleA2: Urea, glycerol, Triton X-100 THF, dichloromethane (DCM), benzylalcohol, benzylbenzoate THF, DCM, dibenzyl ether (DBE) Active transport organ-electrophoresis approach -electrophoretic tissue clearing (ETC) in sodium borate buffer containing 4% SDS Up to 2 weeks 8%SDS in PBS, pH 7.5 at 37°-42℃ followed by extensive PBS perfusion washing over 2-3 days
Time of protocol Up to 3 days or more 3 days - several weeks (- months) ∼1 day ∼1 day ∼7-21 days 2-3 days for most organs, 1-2 weeks for whole brain
Tissue clearing principle (RI matching) Dehydration Increased RI of aqueous phase Dehydration and lipid removal (THF) Dehydration and lipid removal (DCM) Ionic lipid extraction (Passive or electrophoretic) Ionic lipid extraction
Fluorescence quenching High (Dehydration) Minimal High (Dehydration) Continuous quenching in final clearing solution No No
Main Disadvantages Not compatible with tissues containing a high degree of lipids, fluorescence quenching, autofluorescence, benzylbenzoate and benzylalcohol are toxic and dissolve plastic Long clearing process, fragility of cleared samples, sample expansion Impaired ultrastructure, loss of cellular and molecular information due to lipid removal, benzylbenzoate and benzylalcohol are toxic and dissolve plastic Quenching in final clearing solution requires immediate imaging, loss of cellular and molecular information due to lipid removal Passive: Long clearing Electrophoretic: Additional equipment needed (platinum electrodes), possible epitope loss, heating Relatively slow for large organs like whole brain (compared to BABB, Scale, THF or 3DISCO), perfusion chamber required
Main Advantages Accessibility to reagents Signal preservation of fluorescent proteins, adjustable formula for various organs, low toxicity of chemicals Reduced fluorescence quenching, antibody use possible, but long incubation times required Relatively low fluorescence quenching, lipid removal, antibody use possible, but long incubation times required Preservation of biological information by providing physical framework, no quenching due to ionic extraction technique, deep antibody penetration with long incubation times Superior to CLARITY due to lack of electrophoresis and reduction of tissue degradation, more cost effective than CLARITY, reduced tissue swelling, fast simultaneous clearing of multiple tissues